Individual
MR. PHILIP D CARR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1701 S BROADWAY ST, PITTSBURG, KS 66762-5856
(620) 235-4650
(620) 235-4519
Mailing address
105 W QUINCY ST, PITTSBURG, KS 66762-5630
(620) 235-4650
(620) 235-4519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00036
KS
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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